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<br />01/11/2008 FRI 15:34 FAX 402 471 4429 UCC SECRETARY OF STATE ~~~ Hall <br /> <br />IIr <br /> <br />~ <br /> <br />nebraska <br />department <br />of revenue <br /> <br />~003/009 <br /> <br />200800289 <br /> <br />.1[lllI111 III <br /> <br /> <br /> <br />CORDOVA MICHREL P9S, 1 <br />Filed, 01/11/2008 02:36 PI'! <br /> <br /> <br />Notice of State Tax Lien <br /> <br />PLEASE 00 NOT WRITE IN THIS SPACE <br /> <br />INDIVIDUAL INCOME TAX <br /> <br />)(X)( -xx -3109 <br />44097050 <br /> <br />SOC. SEC. NO. <br />NEBR. IDENT. NO.. <br />SPOUSE SOC. SEC. NO. <br />TAXABLE-YEAR <br />LIEN NO. <br />COUNTY <br />DATE OF NOTICE <br />DATE OF ASSESSMENT <br /> <br />2000 <br />071450021 <br />HALL <br />OS/25/2007 <br />03/13/2007 <br /> <br />MICHAEL CORDOVA t') W_A,II..., "- ~ Av€-. <br />~~ IO~ OU{.A\U..ncA_ <br />@"'IIJS~D!J.-tJ>~f7Pj ~O:.ly) "'S. <br />to 760 I <br /> <br />THIS NOTICE OF STATE TAX LIEN IS ISSUED BY THE NEBRASKA DEPARTMENT OF <br />REVENUE FOR INDIVIDUAL INCOME TAX PURSUANT TO THE REVENUE LAWS OF THE <br />STATE OF NEBRASKA. NOTICE IS HEREBY GIVEN THAT INDIVIDUAL INCOME <br />- TAXES INCLUDING PENALTIES AND INTEREST, WHICH ARE SHOWN BELOW ARE DUE <br />FROM THE TAXPAYER SPECIFIED ABOVE AND REMAIN UNPAID AFTER DEMAND. <br />THESE TAXES CONSTITUTE A LIEN IN THE COUNTY FOR PROPERTY BELONGING TO <br />THE TAXPAYER OR HEREAFTER ACQUIRED. <br />AMOUNT OF TAX. . . . . . . . . . . 553.00 <br />PENALTY. . . . . . . . . . . . . . . . . . . .. 138.25 <br />INTEREST (COMPUTED TO OS/25/2007) . . . . . . ., 235.61 <br />TOTAL AMOUNT DUE . . . . . . . . . . . . . . .. 926.86 <br />I HEREBY CERTIFY THAT THE NEBRASKA DEPARTMENT OF REVENUE HAS COMPLIED <br />WITH THE REVENUE LAWS OF THE STATE.OF NEBRASKA IN THE DETERMINATION OF <br />THE AMOUNT SHOWN TO BE DUE, AND THE TAXPAYER HAS FAILED TO PAY THE <br />AMOUNT DUE AFTER DEMAND. IF THIS NOTICE OF STATE TAX LIEN IS AN <br />EXTENSION OF AN EFFECTIVE LIEN IT SERVES TO CONTINUE THE PRIORITY OF <br />THE STATE'S INTEREST IN THE AFFECTED PROPERTY OF THE TAXPAYER. <br /> <br /> <br />.1/.'6. t 'to / . ~!fi;~?:'8 <br />DATE/TELEPHONE <br />!..- ~ pit . . . . . . . . . . . <br />DATE <br />\l.. <br /> <br />.ciOJu:~~........ ..~~. <br />PREPARER'S SIGN RE TITLE <br />~~ .A. . . . . . .5&~~C/t:-.. .4~. . . . . <br />ji{THORiirl- r~NATURE TITLE <br /> <br />IIn$ 10K14 <br />